Endoscopic trans(naso)orbital management of supraorbital mucoceles with biliary T-tube stenting

The objective of this article is to describe our surgical technique for accessing orbital and supraorbital ethmoid sinus mucoceles and the novel application of a biliary T‐tube to stent and redirect mucociliary flow into the frontal recess. We describe in technical terms our surgical approach and th...

Full description

Saved in:
Bibliographic Details
Published in:The Laryngoscope 2013-02, Vol.123 (2), p.326-330
Main Authors: Man, Li-Xing, McLean, Caitlin C., Pierce, Matthew L., Fakhri, Samer
Format: Article
Language:English
Subjects:
Above and below approach
Adult
Aged
Drainage
Endoscopy - methods
Ethmoid Sinus - surgery
Female
frontal sinus
Humans
Male
Middle Aged
mucocele
Mucocele - etiology
Mucocele - surgery
orbital
Orbital Diseases - surgery
Paranasal Sinus Diseases - surgery
Pediatrics
stenosis
stent
Stents
supraorbital ethmoid
trephination
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The objective of this article is to describe our surgical technique for accessing orbital and supraorbital ethmoid sinus mucoceles and the novel application of a biliary T‐tube to stent and redirect mucociliary flow into the frontal recess. We describe in technical terms our surgical approach and the use of an 8‐Fr pediatric biliary T‐tube as a paranasal sinus stent with demonstrative case reports. Four patients have been successfully managed employing the endoscopic trans(naso)orbital approach to access and marsupialize supraorbital and superiorly located orbital mucoceles without egress to the frontal recess. Patency of drainage was maintained by utilizing a flexible, pediatric, biliary T‐tube that is inserted via an above (trephination) and below (endoscopic) approach in three patients, and without the need for stenting in one patient (median follow‐up, 14.5 months). The presented surgical strategy is safe and effective in accessing and maintaining long‐term patency of problematic supraorbital and superiorly located intraorbital mucoceles without communication to the frontal recess. Laryngoscope, 2012
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.23581